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Axillary Bi Fem Bypass with Endarterectomy

Date: Aug 15, 2022

Question:

Axillary artery dissected free, isolated w/ Vesseloops. RT groin, longitudinal incision to inguinal ligament. CFA w/o pulse. LT groin, longitudinal incision, dissection to inguinal ligament. PFA felt better target vessel, crossing vein divided,2-0 silk ties placed. Distal exposed aspect of PFA isolated w/ vessel loop. Vesseloops placed on CFA & SFA. Gore axillary bifem bypass graft tunneled from RT groin to RT subclavian incision. Crossover portion of bypass graft tunneled between groin incisions. Anastomosis to axillary artery performed. Vesseloops secured, arteriotomy made in RT axillary artery. Graft artery anastomosis sewn. Vesseloops secured on RT CFA, PFA & SFA. Arteriotomy made in distal RT CFA. Graft artery anastomosis sewn. Attention placed to LT groin. Vesseloops secured. Arteriotomy made in distal LT CFA into PFA. Heavy calcified plaque in PFA & CFA. CFA & PFA endarterectomy performed using freer elevator to gain an opening to allow for anastomosis.. Graft sewn to distal CFA & proximal LT PFA. Provider coded 35654, 35371, 35372.

Question ID : 17643
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